| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,401 |
1,298 |
$110K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
214 |
213 |
$24K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
996 |
870 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
479 |
466 |
$10K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
203 |
198 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
62 |
62 |
$7K |
| 90461 |
|
161 |
156 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
55 |
51 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
64 |
54 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
158 |
77 |
$2K |
| 96127 |
|
353 |
348 |
$1K |
| 99442 |
|
24 |
24 |
$675.58 |
| 87634 |
|
12 |
12 |
$523.30 |
| 81002 |
|
180 |
176 |
$403.64 |